调逆和顺汤临床思辨探析

Exploration and analysis on the clinical thoughts of Adjusting Reversal and Harmonizing Decoction

笔者在传承姚氏学术思想的基础上不断总结创新,经多年临床实践总结出治疗胃食管反流病的经验方调逆和顺汤,其思想源于《素问·逆调论》,强调只有脏腑和顺、气机调和,生理机能才能正常,若气机不循生理之势而背驰,即为逆,尤其肝、胆、脾、胃的气机不循常道导致脾胃升降失司、肝胆疏泄不畅、门户开合不利等病理表现,据此创立六不顺之病机,即不交、不通、不和、不济、不养、不畅,主张不顺皆为逆的学术思想。调逆和顺汤立方遣药皆针对中焦气机升降,并提出胃脘胀满、打嗝、反酸之独证,临床证实不仅对胃食管反流病有明显疗效,对整个消化系统疾病,但见胃脘胀满、打嗝、反酸之一症即可应用,充分体现其学术思想特色。

Based on the inheritance of YAOs'academic thought,the author has summarized the empirical formula for the treatment of gastroesophageal reflux disease(GERD)through many years of clinical practice,which is the Adjusting Reversal and Harmonizing Decoction.The idea originates from the Suwen·Reversing and Harmonizing Concepts,which stresses that only when the internal organs are in harmonized operational status,the qi(inner energy)will be regulated,and the physiological functions can be normal,and if the qi does not follow the physiological momentum and runs in an opposite way,that is reversal.In particular,if the qi in the liver,gallbladder,spleen and stomach does not follow the normal path,it will lead to pathological manifestations such as spleen and gastric disorder,poor functions of liver and gallbladder,and unfavorable reflections on the face.According to the theory,the six non-conformities are proposed,i.e.,non-connection,incompatibility,non-conformity,nonadequacy,non-nourishment,non-smoothness,and the academic concept of'non-conformities are all reversal'is established.The medicine formula of Adjusting Reversal and Harmonizing Decoction aims at regulating the qi in the middle Jiao(the middle energizer that separate the upper organs and the lower organs),and obtains unique evidence for the treatment of gastric distension,hiccups and acid reflux.This herbal decoction is clinically proved to be effective not only for gastroesophageal reflux disease,but also for diseases of the whole digestive system.It is suitable for any symptom of gastric distension,hiccups and acid reflux,which also fully embodies the characteristics of its academic thoughts.